| NPI | 1033701016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLYTHE CHAPMAN Executive Director 970-945-5195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-02-10 |